L1852 – Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf

Long description

Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf

Short description

Ko double upright prefab ots

Pricing indicator

38 Orthotics, prosthetics, prosthetic devices & vision services

Medicare coverage

C Carrier judgment – coverage decided by the Medicare contractor

BETOS category

D1F Prosthetic/Orthotic devices

Added

January 1, 2017

Last change

January 1, 2017 – No change

Nearby L codes

• L1843 – Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
• L1844 – Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, custom fabricated
• L1845 – Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
• L1846 – Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, custom fabricated
• L1847 – Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
• L1848 – Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated, off-the-shelf
• L1850 – Knee orthosis, swedish type, prefabricated, off-the-shelf
• L1851 – Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf
• L1860 – Knee orthosis, modification of supracondylar prosthetic socket, custom fabricated (sk)
• L1900 – Ankle foot orthosis, spring wire, dorsiflexion assist calf band, custom fabricated
• L1902 – Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf
• L1904 – Ankle orthosis, ankle gauntlet or similar, with or without joints, custom fabricated
• L1906 – Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf
• L1907 – Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated
• L1910 – Ankle foot orthosis, posterior, single bar, clasp attachment to shoe counter, prefabricated, includes fitting and adjustment
• L1920 – Ankle foot orthosis, single upright with static or adjustable stop (phelps or perlstein type), custom fabricated